Kurtis Larue Rooker

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT024636 Issued in PA

Practice address

230 Fawn Vly
State College, PA 16803-1744

Phone

(814) 594-7070

NPI assigned

Dec 12, 2021

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vital Rehab and WellnessGroup PAC ID 1355750613, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Vital Rehab and Wellness

  • Physical Therapy Clinic/Center
  • State College, PA
  • NPI 1598350340

  Physical Therapist

  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1639267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639267200000",
    "number": "1548929052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 FAWN VLY",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168031744",
            "telephone_number": "814-594-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 FAWN VLY",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168031744",
            "telephone_number": "814-594-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROOKER",
        "first_name": "KURTIS",
        "middle_name": "LARUE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-12",
        "last_updated": "2021-12-12",
        "certification_date": "2021-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT024636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Roe, DO
• Baron Kenley Rogers, PHD
• Edwin J Rogusky, M.D.
• Anne Marie Rohan, SLP
• Dorota Romeo, DDS
• James Gowen Roper
• Lorraine Rosamilia, M.D.
• Nikki Louise Rosellini
• Dawn Rosenbaum
• Rhonda Mateer Ross, LSW

• Physical Therapist in State College, PA
• Providers in State College, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.